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� �5 <br /> O�x .. <br /> C H <br /> � H!n <br /> H�� <br /> Ky� ,-.. <br /> � y� CITY OF EVERETT DATE: �� - S�- 7C ' <br /> ��� <br /> qy ELECTRICAL WIRING PQiMIT APPLICATION FEE: �/3_j << <br /> ON <br /> L]�C] I I <br /> ,�� <br /> 9 y� JGB 11DCRE55 ���5 �� �4Sir�r Rd R I d � <br /> r� <br /> y y TENRNT <br /> M /� <br /> ��� FROPEATY OWNER ( ��� r�m ,O <br /> y �y ELECTRICAL CONTRACTOR A�• S��iS ttr <br /> LICENSE N0. �LS�-�SC //aRaZ EXPIRATION DATE <br /> ADMINISIRATOFi T.+p � /�rj c P�iuet PHONE N0. � y�- y 9yy <br /> VALUE OF WORK `d� 7 6C� ' �do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING (t/�, rL hea�se_ ��7d 1 fF <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants with surn ,jobs must show the State-approved plans <br /> '�' before a City of Everett permit will be issued. <br /> 'a' WORK TO BE DONE: <br /> '�' . �� <br /> ' ' `r��s-�o �� a- In1CY''n���o d�� y n�� �r SFrwct . i'�<<�;a�• <br /> ' 5 - � -� � <br /> �7� i��;�r w,�c� .c�� .. [•P S •r0 �P✓Ci7 rtii� <br /> � 1 <br /> �' - <br /> � <br /> s'� <br /> ' <br /> �' <br /> ` /D� V � /( � <br /> � SIGNED : E ,t�c DATE <br /> � <br /> �' NOTES AW CO NTS: <br /> 6/10/87 <br /> 1922H <br />